Individual
MR. JEREMY DAVID FOOTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 263-7138
Mailing address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
(801) 263-7138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9484273-3501
UT
Other
Enumeration date
07/06/2012
Last updated
12/10/2021
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